Organization Active NPI

Fifth Ave Medical PLLC

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1801412523
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
FIFTH AVE MEDICAL PLLC
Practice address
3 E 68TH St
New York, NY 10065-4901
Phone
(212) 988-1444
Fax
(212) 988-1755
NPI assigned
Jun 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elif Seckin
Title
Office Manager
Phone
(718) 915-0408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

3 E 68TH St
New York, NY 10065-4901

Mailing address

3 E 68TH St
New York, NY 10065-4901
Phone (212) 988-1444

National Provider Directory

National Provider Directory

Locations

3 E 68th St
New York, NY 10065
Phone (212) 288-2804

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1801412523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654901",
            "telephone_number": "212-988-1444",
            "fax_number": "212-988-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654901",
            "telephone_number": "212-988-1444",
            "fax_number": "212-988-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "SECKIN",
        "authorized_official_first_name": "ELIF",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-915-0408"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.